Short-term evaluation of autologous transplantation of bone marrow-derived mesenchymal stem cells in patients with cirrhosis: Egyptian study

Clin Transplant. 2013 Jul-Aug;27(4):607-12. doi: 10.1111/ctr.12179.

Abstract

Background: Stem cell-based therapy has received attention as a possible alternative to organ transplantation. The aim of this study was to assess the safety and efficacy of autologous transplantation of bone marrow (BM)-derived stromal cells in post-HCV liver cirrhosis patients.

Methodology: 10 × 10(6) of isolated human bone marrow (HBM)-stromal cells in 10 mL normal saline were injected in the spleen of 20 patients with end-stage liver cirrhosis guided by the ultrasonography, and then patients were followed up on monthly basis for six months.

Results: A statistically significant decrease was detected in the total bilirubin, aspartate transaminase (AST), alanine transaminase (ALT) (p-value<0.01), prothrombin time (PT), and international normalized ratio (INR) levels (p-value<0.05), while a statistically significant increase in the albumin and PC (p-value<0.05) after follow-up.

Conclusion: This study suggested the safety, feasibility, and efficacy of the intrasplenic injection of autologous BM stromal cells in improving liver function in Egyptian patients with cirrhosis.

Keywords: Egypt; human; intrasplenic injection - liver cirrhosis patients; mesenchymal stem cells.

MeSH terms

  • Adult
  • Alanine Transaminase / metabolism
  • Aspartate Aminotransferases / metabolism
  • Bone Marrow / surgery*
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Liver Cirrhosis / metabolism
  • Liver Cirrhosis / therapy*
  • Male
  • Mesenchymal Stem Cell Transplantation*
  • Middle Aged
  • Prognosis
  • Prospective Studies
  • Risk Factors
  • Stromal Cells / transplantation*
  • Transplantation, Autologous

Substances

  • Aspartate Aminotransferases
  • Alanine Transaminase